Combination Reports


Just like a menu, ordering a combination report results results in value with time and cost savings for everyone.  Instead of calling and coordinating with two or even three separate experts, Turning Point offers a single expert report that includes your choice or two or three areas of opinion on cost of future care, functional capacity evaluation and/or vocational assessment.


Our Certified Life Care Planners adhere to the published standards of practice and methodology of the International Academy of Life Care Planners (IALCP). The standards include conducting a comprehensive assessment within the practitioner’s own scope of practice, determining standards and guidelines of care, researching options that are appropriate and reasonably available to the client, analysing data to determine client needs, and developing an organized and concise plan for current and future needs with associated costs.  The methodology of the life care planning assessment includes interviews, consultations with health professionals, a collateral interview with a close family member or friend as indicated, administering assessment questionnaires, and professional observations of the home environment, balance and mobility testing, cognitive testing, and functional assessment of simulated or actual home activities. The home assessment is intended to provide ecological validity regarding the assessment, e.g. reported compensatory or health management strategies may be witnessed within the home, as well as areas of difficulty.


Our Certified Work/Functional Capacity Evaluators adhere to the JTECH Medical and Matheson philosophy that objective functional testing assists with identifying functional deficits, assessing safety to perform functional activities, and assessing consistency of effort.  The purpose of the FCE is to provide an objective measure of an individual’s safe functional abilities compared to the physical demands of work.  The FCE requires the individual to demonstrate functional abilities in terms of competence to negotiate weight, grasp, handle, move the body in space, achieve dynamic and static postures, and perform work tasks within an expected time frame.  The duration of the FCE will depend on the complexity of the illness/injury and the residual impairments and the availability of clearly defined, work related goals.  The standard methodology of the FCE includes the following:  informed consent to include description of the FCE, risks and purpose; medical record review, work and social history; musculoskeletal examination; functional ability and work simulation testing; dexterity testing; cardiovascular testing; client behavioural profiles, consistency of effort, pain, body mechanics and safety; comparison of functional abilities compared with job demands and summary of findings, conclusions and recommendations.


Our Certified Vocational Rehabilitation Professional, adheres to the College of Vocational Rehabilitation Professionals standards of practice to assist individuals to access, maintain or return to vocational activities, and to determine and facilitate access to any vocational rehabilitation and/or support services needed to achieve their desired goals. The practice of vocational rehabilitation is a best-practice, client-centered process and specialized service which provides assistance to persons with or at-risk of experiencing disabilities, impairments, limitations and/or barriers with respect to school and employment activities. In completing vocational evaluations and providing vocational rehabilitation, clients are assessed and advised on the occupational avenues available based on a variety of factors such as: work history and transferrable skills, education and certifications, interests, values, abilities, achievements, and medical restrictions and limitations, along with the labor market data for current or alternate, and future vocational directions. In addition, opinion is provided on the suitability of occupations relative to their medical difficulties - cognitive, physical, and psychosocial. Medically necessary accommodations that likely are required in a particular work setting are identified.


  1. Will your FCE be the same as the other guys?  The education and training of functional capacity evaluators is very similar.  The guidelines are publishes within occupational therapy textbooks and there are over 40 different private companies offering certifications in this areas of evaluation.  Matheson is one of the most well-known and well-marketed based on the development of equipment and studies in the 1980s.  Overtime, the ownership has changed and Matheson has expanded its products.  In 2010, Turning Point started offering Matheson based functional capacity evaluations performed by Matheson trained kinesiologists and occupational therapists.  In 2019, we sought to utilize the efficiencies and accuracies of new technologies so we opted for JTech evaluation tools.  JTECH has developed their own evaluation tools, research studies and certification programs.  Now, we combine cutting edge technology with original FCE standard methodology which compares the job demands to an individual's physical abilities.
  2. Does your software do the FCE?  No, it does not.  The OT-Functional Capacity Evaluators design the entire FCE, conducts the interview and conduct all the testing as well as analyze all the data and form their own opinion.
  3. What do you mean by state-of-the-art technology?  Our measuring tools are digital and the data is linked via blue tooth to our computer.  For example, a common test called the rapid grip exchange requires the evaluator to quickly change the position of a hand grip strength measuring tool.  If using a non-digital tool, the evaluator need to either remember all the measurements or pause between the grasp.  This has the potential for human error recalling the data as well as slowing down the test.  With a digital device synced to record the measurements, the evaluator can focus on other observations and keep a quick pace as per the testing administration guidelines.
  4. What is the cost of these 2 evaluations in one report?  Upon request, we will provide a fee schedule.  In general, there is significant cost savings combining reports then ordering separately.
  5. What qualifications does your vocational evaluator have?  All of our OTs who provide expert opinion have several years of hands-on rehabilitation experience in that areas; in fact, it is a requirement in order to attain these certifications.  At Turning Point, we believe in attaining the highest level of certification attainable in order to provide a defensible opinion and serve our clients well.  This makes us confident providing opinions for either plaintiff or defence.


We offer free consultations, sample reports, fee schedules upon request.